Page 20

Title 8: Medicaid Page 16 Iowa Department of Health and Human Services Employees’ Manual Chapter C: Nonfinancial Eligibility Health Insurance Premium Payment (HIPP) Program Revised October 10, 2025 Referral to the HIPP Program Not Needed To make a referral to the HIPP Unit have the member, applicant, or parent contact the HIPP Unit as follows: Toll-free phone: 1-888-346-9562 Local phone: (515) 974-3282 Fax: (515) 725-0725 Interoffice mail: IME/HIPP NOTE: Refer to NJA0093, Cooperation for the process to enter a HIPP referral in ELIAS and/or the process when Medicaid has been requested and a noncompliance still exists. Referral to the HIPP Program Not Needed Legal reference: 441 IAC 75.21(5) and 75.21(14)”b” A referral to the HIPP program is not needed when the only Medicaid-eligible member:  Has Medicare.  Is eligible for Medicaid only under one or more of the following coverage groups: • Medicaid for Kids with Special Needs (MKSN) • Medically needy  Has health insurance maintained by another entity (e.g., an absent parent maintains insurance on the Medicaid member’s children or the policyholder is not in the Medicaid household).  Has an insurance plan designed to provide temporary coverage.  Has an indemnity insurance policy that supplements the policyholder’s income or pays a predetermined amount for medical services (e.g., $50 per day for hospital services instead of 80% of the charge).  Has an insurance plan offered on the basis of school attendance or enrollment.  Is the policyholder and an absent parent. CSS is responsible for obtaining cash and medical support for children in households where a parent is absent.  Uses the health insurance premium as a deduction in computing the client participation.  Is the policyholder or potential policyholder and is an undocumented alien.